Report an error   
Advanced Search

Congenital Muscular Torticollis: A Case Report.


Leila Marie B. Villanueva

Related Institution

Department of Otorhinolaryngology - Head and Neck Surgery - University of the East Ramon Magsaysay Memorial Medical Center, Inc.

Publication Information

Publication Type
Publication Sub Type
Case report
Philippine Journal of Otolaryngology Head and Neck Surgery
Publication Date
July-December 2019


OBJECTIVE: To discuss a case of congenital muscular torticollis and its presentation, pathophysiology and management. 


                    Design: Case Report

                    Setting: Tertiary Private Hospital

                    Patient: One

RESULTS: An 11-year-old girl presented with tilting of head to the right and progressive limitation of head movement since infancy. MRI showed a shortened right sternocleidomastoid muscle. The patient underwent surgical release of torticollis. Full range of motion of the neck was achieved after the surgical management.

CONCLUSION: Congenital torticollis is a rare condition of the head and neck region. Physicians should be familiar with this entity and its presentation and it should be considered in the differential diagnosis of patients with progressive limitation of head movement in order to initiate early treatment and avoid progressive physical deformity.


KEYWORDS: congenital muscular torticollis; familial spasmodic torticollis


1. Bredenkamp, J K, Hoover, L A, Berke, G S, Shaw, A . "Congenital muscular torticollis. A spectrum of disease" Arch Otolaryngol Head Neck Surg 116(2): 212-16, February 1990
2. Hulber, K F. "Torticollis" PostgradMed J 41(481): 699-701, November 1965
3. Clarren, S K, Smith, D W, Hanson, J W. "Helmet treatment for plagiocephaly andcongenital muscular torticollis" JPediatr 94(1): 43-6, January 1979
4. Mik, G , Drummond, D S. Release of the Sternocleidomastoid Muscle. In: Wiesel S, editor. Operative Techniques in Orthopaedic Surgery. Philadelphia: LippincottWilliams and Wilkins, 2011. 1392-1398.
5. Robin, N H. "Congenital muscular torticollis" Pediatr Rev 17(10): 374-5, 1996
6. Graham, J . Congenital Muscular Torticollis. In Jones KL, editor. Smith’s Recognizable Patterns of HumanDeformation. Philadelphia: Saunders, 2007. 130-140.
7. Mercier, L . Torticollis. In Ferri FF, editor; Rufino A, section editor. Ferri’s Clinical Advisor 1st edition. Philadelphia: Mosby Elsevier, 2014. 1105.
8. Ta, J , Krishnan, M . "Management of congenital muscular torticollis in a child: A case report and review" Int J Pediatr Otorhinolaryngol 76(11): 1543-6, November 2012
9. Raman, S , Takhtani, D , Wallace, E C. "Congenital torticollis caused byunilateral absence of the sternocleidomastoid muscle" Pediatr Radiol 39(1): 77-9, January 2009
10. Lee, I , Lim, H , Song, H S, Park, M C. "Complete tight fibrous band release andresection in congenital muscular torticollis" J Plast Reconstr Aesthet Surg 63(6): 947-3, June 2010
11. Cherian, S B, Nayak, S . "A rare case of unilateral third head ofsternocleidomastoid muscle" Int JMorphol 26(1): 99-101, 2008
12. Natsis, K , Asouchiduo, I , Vasilleiou, M , Papathanasiou, E , Noussios, G , Paraskevas, G . "A rare case of bilateral supernumerary heads of sternocleidomastoidand its clinical impact" Folia Morphol 68(1): 52-54, February 2009
13. Burch, C , Hudson, P , Reder, R , Ritchey, M , Strenk, M , Woosley, M . (2009, November 19). Cincinnatti Children’s Hospital Medical Center; Evidence-based care Guideline for Therapy Management of Congenital Muscular Torticollis. . Retrieved from: http://www.cincinnatichildrens.org/svc/alpha/h/health-policy/ev-based/otpt.htm. Guideline 33http://pages 1-13
14. Oleszek, J L, Chang, N , Apkon, S D, Wilson, P E. "Botulinum Toxin type A in thetreatment of children with congenital muscular torticollis" Am J Phys Med Rehabil 84(10): 813-816, October 2005
15. Burstein, F D. "Long-term experience with endoscopic surgical treatment forcongenital muscular torticollis in infants and children: a review of 85 cases" Plast Reconstr Surg 114(2): 491-3, August 2004

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Society of Otolaryngology-Head and Neck Surgery Fulltext pdf
Philippine Society of Otolaryngology-Head and Neck Surgery Fulltext External Link (View)

©2021 HERDIN PLUS. All rights reserved.